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LIVE POLIO IRUS VACCINES

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538<br />

TABLE 3.<br />

Efficacy-Field Evidence<br />

V<strong>IRUS</strong> ISOLATIONS FROM SUBJECTS ON SOTTUNGA ISLAND AT DIFFERENT STAGES OF THE<br />

TRIALS IN 1958 AND 1959<br />

1958<br />

1959<br />

APRIL<br />

MAY<br />

JULY<br />

MARCH<br />

JUNE<br />

NUMBER OF SPECIMENS TESTED<br />

201<br />

186<br />

184<br />

191 196<br />

Type 1 virus isolations<br />

Type 2 virus isolations<br />

Type 3 virus isolations<br />

11*<br />

it<br />

* Five persons fed virus, six contacts.<br />

t One contact.<br />

: Twelve persons fed virus, one contact.<br />

Spread of attenuated Type 1 virus in the<br />

community. Six weeks after feeding live virus<br />

to the above mentioned 43 persons, six of 149<br />

other persons tested on the island excreted Type<br />

1 poliovirus. One of these persons still excreted<br />

virus 12 weeks after the introduction of the live<br />

virus into the community. From two of these<br />

TABLE 4. AGE AND IMMUNITY STATUS OF SUBJECTS EXCRETING <strong>POLIO</strong>V<strong>IRUS</strong> TYPE 1,<br />

SOTTUNGA TRIAL 1958<br />

NUMBER<br />

OF<br />

FAMILY<br />

MEMBERS<br />

six persons serologic data are lacking. Two of<br />

the remaining four were negative to Type 1<br />

(Table 4).<br />

A fourfold or greater increase in Type 1<br />

antibodies during the period April 1958 to<br />

March 1959, was seen in 66 of 158 persons<br />

tested, or 42 per cent. These 66 persons repre-<br />

NON-<br />

IMMUNE/<br />

TOTAL<br />

AGE OF<br />

VIRUs<br />

Ex-<br />

CRETORS<br />

ANTIBODY TITER OF V<strong>IRUS</strong> EXCRETORS<br />

BEFORE FEEDIN/ G<br />

6 WEEKS AFTER FEEDING<br />

TYrE 1 TYPE 2 TYPE 3 TYPE 1 TYPE 2 TYPE 3<br />

Fed Live<br />

Type 1<br />

Virus<br />

Vaccine<br />

3/6<br />

3/4<br />

2/7<br />

15<br />

2<br />

13<br />

7<br />

1<br />

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